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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2016-18 <br />CERTIFICATE OF' INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjunction with <br />City of Santa Ana <br />Apex Insurance Services <br />20 Civic Center Plaza <br />P. O, Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861. <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Melina Herrera <br />TYPE: Preschool/Daveare <br />783 Olympic. Avenue <br />(,';`.."' <br />D.ATE(S): 01/07/16— 1.2/31/16 <br />Costa Mesa, CA 92626 ' <br />LOCATION: Corbin Center <br />*Liquor Liability Yes ❑ No E <br />"Liquor Liability after 12 am ends before 2 am ❑ <br />This is to certify that the insurance policy listed below has been issued to the above insured narned (event holder) for the policy <br />period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless <br />arnended as described in Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41020 <br />MASTER POLICY HATES: EFFECTIVE: JANUA.R.Y 1, 2016.EXPIRATION: JANUARY 1, 2017 <br />COMMERCIAL GENFRAI ITA,BILITY OCCURRENCE FORM DEDucTIBI-L NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Cornpleted Operations 1 „000,000 SPECIAL CONDITIONS <br />Personal & Advertising, Injury 1,000,000 The Hallowing endorsements attached to <br />Each. Occurrence Lianit 1,000,000 the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 Certificate Of Insurance_ <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchased N <br />$1,000,000/$3,000,000 1wyt <br />tib <br />F1 $2,000 000/$2,000,000 <br />Damage To Property (If purchased) a <br />The limits of insurance apple separately to each event insured by this policy as if a separ, oh -e has been issued four that event. <br />OTHER ADI.IITI L INS S <br />CANCELLATION : Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />provisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: --,.January 7 2016 by Briza Morales <br />